Question:
Denied "clinical info provided does not indicate...

if conservative measures were used or their effectiveness." Can someone translate, and what should I do next? Do yu think a round of a diet drug or diet with my PCP would provide what is needed? Thank you so much, Mary    — marymatic (posted on March 13, 2006)

March 13, 2006
Hi mary...do you mind me asking where you are from? What kind of inssurance? Thanks Dawnya
   — Dawn1

March 13, 2006
Hi Mary, As part of the letter I am submitting with my insurance forms I included all the different diets I have tried and the results. I think they just want to be assured that you have tried to lose weight in the past. Lori
   — lori_elachqer

March 13, 2006
Insurance is UnitedHealthcare, my daughter is almost 21, has sarcoidosis, knee issues, and a BMI of over 50. She's been on and off steroids since she was 8 because of the sarcoidosis. I've had gastric bypass, 5/26/00, and have lost 180 pounds and kept it off since that time. I'm very diligent - food and exercise - and she has seen my progress. I fear that the Cleveland Clinic didn't send everything they should have, she was on a supervised diet and lost 16 pounds, then of course regained. Other than this 'supervised' diet thru the Clinic, this is her only truely docmented weight loss try. Does anything think we should see our PCP for a 'monitored' plan for documentation then resubmit for approval? Thanks again, Mary
   — marymatic

March 13, 2006
they are required to comunicate in a lanquage that you can understand, call them and have them explain them selves and dont accept a answer that your doctor will explain it. remind them that YOU ARE THE CUSTOMER.. if the rep can explain it to your satisfaction tell her to get some one who can.
   — walter A.

Click Here to Return